Srz Op Autumn LLC

NPI #1366932014 in Raytown, Missouri

Provider Information

NPI Number
1366932014
Entity Type
Organization
Organization Name
Srz Op Autumn LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SRZ OP HOLDINGS LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 17, 2018
Last Updated
Sep 16, 2022

Practice Location

Address
6124 RAYTOWN RD
ZIP Code
64133
Phone
(816) 358-8222

Authorized Official

Name
SAMUEL GOLDNER
Title
AUTHORIZED PERSON/OFFICIAL
Phone
(347) 677-0448

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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